| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,828.12 | $1,828.12 | $1,954.93 | |
Cigna
| Professional | $1,589.33 | $2,101.42 | $2,575.48 | |
United
| Professional | $1,607.86 | $1,935.42 | $4,282.55 |